Abstract：
OBJECTIVE: This study aimed to evaluate the effect of the clinical removal of fixed partial dentures (FPDs) on oral health-related quality of life (OHRQoL) and the anxiety values of individuals and to determine the clinical factors of high anxiety levels.
METHODS: In total, 300 participants were included in this study. Six different reasons for the clinical removal of FPDs (oral examination, denture renewal, endodontic treatment, tooth extraction, periodontal treatment, and composite filling restoration) were defined. The United Kingdom Oral Health-Related Quality-of-Life Measure (OHRQoL-UK), the Modified Dental Anxiety Scale (MDAS), and the Spielberger State-Trait Anxiety Inventory- State (STAI-S) and Trait (STAI-T) were answered. The reason groups were compared using one-way analyses of variance (ANOVA). Binary logistic regression analyses were performed to evaluate the risk factors for high anxiety.
RESULTS: There was no significant difference in OHRQoL-UK scores (P=.279) among the reason groups, but there were significant differences in MDAS, STAI-S, and STAI-T scores (P=.004, P<.001, P=.018 respectively) among the reason groups. Endodontic treatment, tooth extraction, and gender were determined to be risk factors, considering the anxiety scales.
CONCLUSIONS: Females are 2.2 times more likely to have trait anxiety than men. Although the effect of the reason for the clinical removal of FPDs on OHRQoL was similar among the groups, it is concluded that endodontic treatment and tooth extraction reasons for the clinical removal of FPDs could be risk factors for high anxiety regardless of FPD usage time.
METHODS: In total, 300 participants were included in this study. Six different reasons for the clinical removal of FPDs (oral examination, denture renewal, endodontic treatment, tooth extraction, periodontal treatment, and composite filling restoration) were defined. The United Kingdom Oral Health-Related Quality-of-Life Measure (OHRQoL-UK), the Modified Dental Anxiety Scale (MDAS), and the Spielberger State-Trait Anxiety Inventory- State (STAI-S) and Trait (STAI-T) were answered. The reason groups were compared using one-way analyses of variance (ANOVA). Binary logistic regression analyses were performed to evaluate the risk factors for high anxiety.
RESULTS: There was no significant difference in OHRQoL-UK scores (P=.279) among the reason groups, but there were significant differences in MDAS, STAI-S, and STAI-T scores (P=.004, P<.001, P=.018 respectively) among the reason groups. Endodontic treatment, tooth extraction, and gender were determined to be risk factors, considering the anxiety scales.
CONCLUSIONS: Females are 2.2 times more likely to have trait anxiety than men. Although the effect of the reason for the clinical removal of FPDs on OHRQoL was similar among the groups, it is concluded that endodontic treatment and tooth extraction reasons for the clinical removal of FPDs could be risk factors for high anxiety regardless of FPD usage time.
摘要：
目的：本研究旨在评估临床摘除固定局部义齿（FPDs）对口腔健康相关生活质量（OHRQoL）和个体焦虑值的影响，并确定高焦虑水平的临床因素。
方法：总共，300名参与者被纳入这项研究。临床切除FPDs的六种不同原因(口腔检查，义齿更新,牙髓治疗,拔牙,牙周治疗,和复合充填修复)被定义。英国口腔健康相关生活质量测量（OHRQoL-UK），改良牙科焦虑量表（MDAS），和Spielberger状态-特质焦虑库存状态（STAI-S）和特征（STAI-T）被回答。使用单向方差分析(ANOVA)比较原因组。进行二元logistic回归分析以评估高焦虑的危险因素。
结果：原因组OHRQoL-UK评分无显著差异（P=.279），但是MDAS有显著差异，STAI-S,原因组之间的STAI-T得分（分别为P=.004，P<.001，P=.018）。牙髓治疗,拔牙,性别被确定为危险因素，考虑到焦虑的程度。
结论：女性患特质焦虑的可能性是男性的2.2倍。尽管临床切除FPDs对OHRQoL的影响在各组之间相似，结论是，无论FPD使用时间如何，牙髓治疗和临床切除FPD的拔牙原因可能是高度焦虑的危险因素。
方法：总共，300名参与者被纳入这项研究。临床切除FPDs的六种不同原因(口腔检查，义齿更新,牙髓治疗,拔牙,牙周治疗,和复合充填修复)被定义。英国口腔健康相关生活质量测量（OHRQoL-UK），改良牙科焦虑量表（MDAS），和Spielberger状态-特质焦虑库存状态（STAI-S）和特征（STAI-T）被回答。使用单向方差分析(ANOVA)比较原因组。进行二元logistic回归分析以评估高焦虑的危险因素。
结果：原因组OHRQoL-UK评分无显著差异（P=.279），但是MDAS有显著差异，STAI-S,原因组之间的STAI-T得分（分别为P=.004，P<.001，P=.018）。牙髓治疗,拔牙,性别被确定为危险因素，考虑到焦虑的程度。
结论：女性患特质焦虑的可能性是男性的2.2倍。尽管临床切除FPDs对OHRQoL的影响在各组之间相似，结论是，无论FPD使用时间如何，牙髓治疗和临床切除FPD的拔牙原因可能是高度焦虑的危险因素。
